{"id":"https://openalex.org/W3081745513","doi":"https://doi.org/10.1001/jamahealthforum.2020.0987","title":"Transforming the Rural Health Care Paradigm","display_name":"Transforming the Rural Health Care Paradigm","publication_year":2020,"publication_date":"2020-09-02","ids":{"openalex":"https://openalex.org/W3081745513","doi":"https://doi.org/10.1001/jamahealthforum.2020.0987","mag":"3081745513","pmid":"https://pubmed.ncbi.nlm.nih.gov/36218725"},"language":"en","primary_location":{"id":"doi:10.1001/jamahealthforum.2020.0987","doi":"https://doi.org/10.1001/jamahealthforum.2020.0987","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamahealthforum.2020.0987","pdf_url":"https://jamanetwork.com/journals/jama-health-forum/articlepdf/2770355/greenwoodericksen_2020_is_200090_1618347859.86061.pdf","source":{"id":"https://openalex.org/S4210223698","display_name":"JAMA Health Forum","issn_l":"2689-0186","issn":["2689-0186"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Health Forum","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://jamanetwork.com/journals/jama-health-forum/articlepdf/2770355/greenwoodericksen_2020_is_200090_1618347859.86061.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5045043939","display_name":"Margaret B. Greenwood\u2010Ericksen","orcid":"https://orcid.org/0000-0002-3072-8401","observed_orcids":["https://orcid.org/0000-0002-3072-8401"]},"institutions":[{"id":"https://openalex.org/I169521973","display_name":"University of New Mexico","ror":"https://ror.org/05fs6jp91","country_code":"US","type":"education","lineage":["https://openalex.org/I169521973"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Margaret B. Greenwood-Ericksen","raw_affiliation_strings":["Department of Emergency Medicine, University of New Mexico, Albuquerque"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, University of New Mexico, Albuquerque","institution_ids":["https://openalex.org/I169521973"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084896360","display_name":"Shawn M. D\u2019Andrea","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210098861","display_name":"Tsehootsooi Medical Center","ror":"https://ror.org/013kktc25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098861"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shawn D\u2019Andrea","raw_affiliation_strings":["Tsehootsooi Medical Center, Fort Defiance, Arizona"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tsehootsooi Medical Center, Fort Defiance, Arizona","institution_ids":["https://openalex.org/I4210098861"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5069754665","display_name":"Scott W Findley","orcid":"https://orcid.org/0000-0002-5066-6877","observed_orcids":["https://orcid.org/0000-0002-5066-6877"]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Scott Findley","raw_affiliation_strings":["Department of Emergency Medicine, West Virginia University, Morgantown"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, West Virginia University, Morgantown","institution_ids":["https://openalex.org/I12097938"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5045043939"],"corresponding_institution_ids":["https://openalex.org/I169521973"],"apc_list":{"value":5000,"currency":"USD","value_usd":5000},"apc_paid":{"value":5000,"currency":"USD","value_usd":5000},"fwci":0.8306,"has_fulltext":true,"cited_by_count":12,"citation_normalized_percentile":{"value":0.83437682,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"1","issue":"9","first_page":"e200987","last_page":"e200987"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.698199987411499,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.698199987411499,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11990","display_name":"Global Health Workforce Issues","score":0.16519999504089355,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.058400001376867294,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/rural-health-care","display_name":"rural health care","score":0.9660000205039978},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.9660000205039978},{"id":"https://openalex.org/keywords/rural-hospital-closures","display_name":"rural hospital closures","score":0.949999988079071},{"id":"https://openalex.org/keywords/rural-health-disparities","display_name":"rural health disparities","score":0.8970000147819519},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.7829999923706055},{"id":"https://openalex.org/keywords/hospital-financial-crisis","display_name":"hospital financial crisis","score":0.7739999890327454},{"id":"https://openalex.org/keywords/clinician-shortage","display_name":"clinician shortage","score":0.9559999704360962},{"id":"https://openalex.org/keywords/care-coordination","display_name":"care coordination","score":0.5759999752044678},{"id":"https://openalex.org/keywords/rural-health-care-reform","display_name":"rural health care reform","score":0.4180000126361847}],"concepts":[{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.44808733463287354},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.32926851511001587},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.2496689260005951},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1001/jamahealthforum.2020.0987","doi":"https://doi.org/10.1001/jamahealthforum.2020.0987","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamahealthforum.2020.0987","pdf_url":"https://jamanetwork.com/journals/jama-health-forum/articlepdf/2770355/greenwoodericksen_2020_is_200090_1618347859.86061.pdf","source":{"id":"https://openalex.org/S4210223698","display_name":"JAMA Health Forum","issn_l":"2689-0186","issn":["2689-0186"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Health Forum","raw_type":"journal-article"},{"id":"pmid:36218725","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36218725","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA health forum","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1001/jamahealthforum.2020.0987","doi":"https://doi.org/10.1001/jamahealthforum.2020.0987","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamahealthforum.2020.0987","pdf_url":"https://jamanetwork.com/journals/jama-health-forum/articlepdf/2770355/greenwoodericksen_2020_is_200090_1618347859.86061.pdf","source":{"id":"https://openalex.org/S4210223698","display_name":"JAMA Health Forum","issn_l":"2689-0186","issn":["2689-0186"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Health Forum","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.8048999905586243,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3081745513.pdf","grobid_xml":"https://content.openalex.org/works/W3081745513.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W2043953530","https://openalex.org/W2117513358","https://openalex.org/W2128049275","https://openalex.org/W2160647384","https://openalex.org/W2575438487","https://openalex.org/W2744287145","https://openalex.org/W2940155780","https://openalex.org/W3015654261","https://openalex.org/W3023737985","https://openalex.org/W3033961140"],"related_works":["https://openalex.org/W2748952813","https://openalex.org/W3031052312","https://openalex.org/W4389568370","https://openalex.org/W3032375762","https://openalex.org/W1995515455","https://openalex.org/W2080531066","https://openalex.org/W2586801360","https://openalex.org/W3108674512","https://openalex.org/W1506200166","https://openalex.org/W1489783725"],"abstract_inverted_index":{"The":[0],"coronavirus":[1],"disease":[2],"2019":[3],"(COVID-19)":[4],"pandemic":[5],"is":[6,37,139],"exposing":[7],"the":[8,17,25],"fragility":[9],"of":[10,16,61,80,130],"health":[11,34,49,131],"care":[12,50,114,132],"in":[13,39,46],"rural":[14,27,33,47,93,122],"areas":[15],"US.The":[18],"pandemic-related":[19],"hospital":[20,28,123],"financial":[21],"crisis":[22],"may":[23,66],"exacerbate":[24],"long-standing":[26],"closure":[29],"crisis,":[30],"worsening":[31],"preexisting":[32],"disparities.":[35],"1COVID-19":[36],"spreading":[38],"a":[40,71,89,99,142],"\"checkerboard\"":[41],"pattern":[42,101],"through":[43],"hot":[44],"spots":[45],"areas.Rural":[48],"facilities":[51],"have":[52],"undergone":[53],"significant":[54],"and":[55,78,105,116,134],"costly":[56],"preparations":[57],"for":[58,83,92,141],"potential":[59],"surges":[60],"patients":[62],"with":[63,128,136],"COVID-19.Yet":[64],"they":[65],"still":[67],"be":[68],"overwhelmed":[69],"by":[70],"local":[72],"outbreak,":[73],"facing":[74],"intractable":[75],"clinician":[76],"shortages":[77],"lack":[79],"regional":[81],"planning":[82],"patient":[84],"transfers.2":[85],"Thus,":[86],"COVID-19":[87],"highlights":[88],"wicked":[90],"problem":[91],"hospitals-they":[94],"are":[95,125],"repeatedly":[96],"forced":[97],"into":[98],"reactionary":[100],"regarding":[102],"finances,":[103],"staffing,":[104],"transfer/coordination":[106],"networks":[107],"that":[108],"hinders":[109],"their":[110],"ability":[111],"to":[112,119],"optimize":[113],"delivery":[115],"quality.The":[117],"consequences":[118],"communities":[120],"experiencing":[121],"closures":[124],"tragic,":[126],"starting":[127],"loss":[129],"access":[133],"ending":[135],"community":[137],"decline.It":[138],"time":[140],"new":[143],"paradigm.":[144]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1}],"updated_date":"2026-10-17T09:40:24.721904","created_date":"2025-10-10T00:00:00"}